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Individual

CAROL BLALOCK HUNSUCKER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1464
Mailing address
202 GREEN VIEW RD, MOYOCK, NC 27958-9297

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601607
VA

Other

Enumeration date
01/30/2006
Last updated
07/08/2007
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